{"title":"显微手术精索静脉曲张切开术：腹股沟下入路经验及文献复习","authors":"Hanchao Liu, Rui Chen, Xiaolong Wu, Mingxiao Zhang, Zhengzheng Li, Lin Hua, Junfeng Zhan, Biao Dong, Zhenqing Wang, Zhuolun Sun, Xiaotao Li, Jiaqin Liu, Xiaodong Wang, Ming Shen, Chong Xie, Zhuanxin Jiang","doi":"10.1155/2023/9937114","DOIUrl":null,"url":null,"abstract":"<div>\n <p><i>Objective</i>. To discuss the experience with a novel surgical approach in the treatment of varicocele for fertility or pain in 772 patients. <i>Methods</i>. Retrospective analysis of 772 patients undergoing microsurgical sub-subinguinal (SSI) varicocelectomy in our hospital and the discussion of historical surgical approaches. <i>Results</i>. A total of 690 patients with left varicocele underwent surgical treatment for infertility (<i>n</i> = 519) and pain (<i>n</i> = 171). The sperm concentrations (mean ± standard deviation (SD)) of 519 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 19.24 ± 3.69 (10<sup>6</sup>/ml), 27.42 ± 10.32 (10<sup>6</sup>/ml), and 34.20 ± 16.29 (10<sup>6</sup>/ml) (<i> </i><sup>∗∗</sup><i>P</i> < 0.01), respectively. The sperm motilities (mean ± SD) of 519 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 13.78 ± 3.25, 20.98 ± 8.21, and 27.59 ± 13.71 (grade (a + b) %) (<i> </i><sup>∗∗</sup><i>P</i> < 0.01), respectively. Pain was released surgically in 131 (76.6%) of the 171 patients. A total of 82 patients with bilateral varicocele underwent surgical treatment for infertility (<i>n</i> = 58) and pain (<i>n</i> = 24). The sperm concentrations (mean ± SD) of 58 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 19.21 ± 3.24 (10<sup>6</sup>/ml), 27.36 ± 10.26 (10<sup>6</sup>/ml), and 33.87 ± 15.20 (10<sup>6</sup>/ml) (<i> </i><sup>∗∗</sup><i>P</i> < 0.01), respectively. The sperm motilities (mean ± SD) of 58 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 13.54 ± 2.75, 20.75 ± 8.21, and 28.53 ± 14.83 (grade (a + b) %) (<i> </i><sup>∗∗</sup><i>P</i> < 0.01), respectively. Pain was released surgically in 19 (79.2%) of the 24 patients. The probability of occurrence in one artery, two arteries, three arteries, and more than three arteries was 29.5%, 28.8%, 19.9%, and 1.9%, respectively. <i>Conclusion</i>. This surgical approach achieves a small and esthetic skin wound with fewer complications. The SSI approach is a safe and widely adopted surgical approach option for the treatment of varicocele.</p>\n </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/9937114","citationCount":"0","resultStr":"{\"title\":\"Microsurgical Varicocelectomy: Experience of Our Sub-Subinguinal Approach and Review of the Literature\",\"authors\":\"Hanchao Liu, Rui Chen, Xiaolong Wu, Mingxiao Zhang, Zhengzheng Li, Lin Hua, Junfeng Zhan, Biao Dong, Zhenqing Wang, Zhuolun Sun, Xiaotao Li, Jiaqin Liu, Xiaodong Wang, Ming Shen, Chong Xie, Zhuanxin Jiang\",\"doi\":\"10.1155/2023/9937114\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n <p><i>Objective</i>. To discuss the experience with a novel surgical approach in the treatment of varicocele for fertility or pain in 772 patients. <i>Methods</i>. Retrospective analysis of 772 patients undergoing microsurgical sub-subinguinal (SSI) varicocelectomy in our hospital and the discussion of historical surgical approaches. <i>Results</i>. A total of 690 patients with left varicocele underwent surgical treatment for infertility (<i>n</i> = 519) and pain (<i>n</i> = 171). The sperm concentrations (mean ± standard deviation (SD)) of 519 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 19.24 ± 3.69 (10<sup>6</sup>/ml), 27.42 ± 10.32 (10<sup>6</sup>/ml), and 34.20 ± 16.29 (10<sup>6</sup>/ml) (<i> </i><sup>∗∗</sup><i>P</i> < 0.01), respectively. The sperm motilities (mean ± SD) of 519 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 13.78 ± 3.25, 20.98 ± 8.21, and 27.59 ± 13.71 (grade (a + b) %) (<i> </i><sup>∗∗</sup><i>P</i> < 0.01), respectively. Pain was released surgically in 131 (76.6%) of the 171 patients. A total of 82 patients with bilateral varicocele underwent surgical treatment for infertility (<i>n</i> = 58) and pain (<i>n</i> = 24). The sperm concentrations (mean ± SD) of 58 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 19.21 ± 3.24 (10<sup>6</sup>/ml), 27.36 ± 10.26 (10<sup>6</sup>/ml), and 33.87 ± 15.20 (10<sup>6</sup>/ml) (<i> </i><sup>∗∗</sup><i>P</i> < 0.01), respectively. The sperm motilities (mean ± SD) of 58 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 13.54 ± 2.75, 20.75 ± 8.21, and 28.53 ± 14.83 (grade (a + b) %) (<i> </i><sup>∗∗</sup><i>P</i> < 0.01), respectively. Pain was released surgically in 19 (79.2%) of the 24 patients. The probability of occurrence in one artery, two arteries, three arteries, and more than three arteries was 29.5%, 28.8%, 19.9%, and 1.9%, respectively. <i>Conclusion</i>. This surgical approach achieves a small and esthetic skin wound with fewer complications. The SSI approach is a safe and widely adopted surgical approach option for the treatment of varicocele.</p>\\n </div>\",\"PeriodicalId\":7817,\"journal\":{\"name\":\"Andrologia\",\"volume\":\"2023 1\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2023-07-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/9937114\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Andrologia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1155/2023/9937114\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ANDROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Andrologia","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/2023/9937114","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ANDROLOGY","Score":null,"Total":0}
Microsurgical Varicocelectomy: Experience of Our Sub-Subinguinal Approach and Review of the Literature
Objective. To discuss the experience with a novel surgical approach in the treatment of varicocele for fertility or pain in 772 patients. Methods. Retrospective analysis of 772 patients undergoing microsurgical sub-subinguinal (SSI) varicocelectomy in our hospital and the discussion of historical surgical approaches. Results. A total of 690 patients with left varicocele underwent surgical treatment for infertility (n = 519) and pain (n = 171). The sperm concentrations (mean ± standard deviation (SD)) of 519 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 19.24 ± 3.69 (106/ml), 27.42 ± 10.32 (106/ml), and 34.20 ± 16.29 (106/ml) (∗∗P < 0.01), respectively. The sperm motilities (mean ± SD) of 519 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 13.78 ± 3.25, 20.98 ± 8.21, and 27.59 ± 13.71 (grade (a + b) %) (∗∗P < 0.01), respectively. Pain was released surgically in 131 (76.6%) of the 171 patients. A total of 82 patients with bilateral varicocele underwent surgical treatment for infertility (n = 58) and pain (n = 24). The sperm concentrations (mean ± SD) of 58 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 19.21 ± 3.24 (106/ml), 27.36 ± 10.26 (106/ml), and 33.87 ± 15.20 (106/ml) (∗∗P < 0.01), respectively. The sperm motilities (mean ± SD) of 58 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 13.54 ± 2.75, 20.75 ± 8.21, and 28.53 ± 14.83 (grade (a + b) %) (∗∗P < 0.01), respectively. Pain was released surgically in 19 (79.2%) of the 24 patients. The probability of occurrence in one artery, two arteries, three arteries, and more than three arteries was 29.5%, 28.8%, 19.9%, and 1.9%, respectively. Conclusion. This surgical approach achieves a small and esthetic skin wound with fewer complications. The SSI approach is a safe and widely adopted surgical approach option for the treatment of varicocele.
期刊介绍：
Andrologia provides an international forum for original papers on the current clinical, morphological, biochemical, and experimental status of organic male infertility and sexual disorders in men. The articles inform on the whole process of advances in andrology (including the aging male), from fundamental research to therapeutic developments worldwide. First published in 1969 and the first international journal of andrology, it is a well established journal in this expanding area of reproductive medicine.
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